Patient Access Specialist

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $17 - $20 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Brault

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1990

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance • Data Analytics

Brault is a company specializing in End-to-End Revenue Cycle Management (RCM) and practice management services tailored for healthcare providers, particularly in acute care settings. With over 25 years of experience, Brault offers customized solutions in areas such as coding and billing, provider education, practice analytics, and operational support to help physician groups and hospitals navigate the complexities of healthcare management. Led by Dr. Andrea Brault and a team of experts, the company is dedicated to enhancing the efficiency and effectiveness of healthcare practices nationwide.

📋 Description

• Review, verify, and complete missing registration and insurance information on electronically received encounters • Apply and correct billing details according to insurance carrier requirements and company policies • Manage multiple client accounts according to assigned volume and productivity expectations • Monitor and report low volumes, missing dates of service, and missing insurance or payer information • Use RICA coding application and AthenaIDX to update and correct demographic records • Resolve demographic, insurance, and Patient Access-related errors, edits, and rejections • Conduct verification checks and assign accurate payer information to support timely billing • Maintain a minimum accuracy rate of 95% • Resolve Level 2 escalations from the offshore team and identify issues preventing claim submission • Provide feedback and trending observations to the PA & EDI Supervisor • Process work within 2 business days and notify the supervisor when not on target • Complete daily production records accurately and on time • Communicate workflow deviations and escalate issues affecting daily submission or month-end close • Collaborate with Billing, Coding, Enrollment, EDI, and Leadership teams • Participate in training, updates, and process improvements • Maintain confidentiality of sensitive information and comply with HIPAA and company policies • Perform other related duties as assigned

🎯 Requirements

• Strong attention to detail and accuracy, with the ability to identify discrepancies in demographic and insurance information • Ability to interpret eligibility files and understand payer requirements, rules, and coverage limitations • Knowledge of insurance types, payer hierarchy, and coordination of benefits • Ability to work independently with minimal supervision, manage pressure, and meet established deadlines • Computer literacy and proficiency with Microsoft Office (Excel required) • Excellent communication skills for collaboration with internal teams and external partners • Ability to prioritize work and manage competing tasks • Understanding of HIPAA and handling of Protected Health Information (PHI) • Critical thinking and problem-solving abilities to identify root causes of errors and determine appropriate corrective actions • High School Graduate or GED • Minimum of one year in the healthcare industry • Experience with Athena IDX a plus • Preferred Insurance data entry / Medical Front office training and/or Certification